CLUB INC
NPI 1871915694
Clinic/Center - Mental Health (Including Community Mental Health Center) in Idaho Falls, ID

Active since January 14, 2014
2001 S WOODRUFF, SUITE 6, IDAHO FALLS, ID 83404(208) 529-4673(208) 529-4676 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Club Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLUB INC (NPI 1871915694) is a healthcare organization registered as a mental health (including community mental health center) in Idaho Falls, Idaho and active in the NPI registry since January 2014. The organization lists Kristee Criddle, Lnsw, as its authorized official.

NPPES Registry Identity

NPI1871915694
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCLUB INC
Location Address2001 S WOODRUFF, SUITE 6Idaho Falls, ID 83404
Mailing Address2001 S Woodruff Ave, Suite 6Idaho Falls, ID 83404-6374
Fax(208) 529-4676
Organization SubpartNo
Authorized OfficialKristee CriddleLnsw · (208) 241-1377
Enumeration DateJanuary 14, 2014
NPI 1871915694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in ID · LMSW-30202
2001 S WOODRUFF, Idaho Falls, ID 83404

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2001 S WOODRUFF, SUITE 19
IDAHO FALLS, ID 83404
Urology
2001 S WOODRUFF, SUITE 8
IDAHO FALLS, ID 83404
Clinic/Center (Sleep Disorder Diagnostic)
2001 S WOODRUFF, STE 11
IDAHO FALLS, ID 83404
Specialist
2001 S WOODRUFF, SUITE 8
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871915694, enumerated as an "organization" on January 14, 2014.

The provider is located at 2001 S WOODRUFF SUITE 6 IDAHO FALLS, ID 83404 and the phone number is (208) 529-4673.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).